MRS. Crystal Regina Costa, BCBA

NPI #1518210954 in Salida, California

Provider Information

NPI Number: 1518210954
Entity Type: Individual
Name: MRS. Crystal Regina Costa, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Oct 23, 2012
Last Updated: Oct 23, 2012

Practice Location

Address: 5716 PIRRONE RD
City: Salida
State: California
ZIP Code: 95368-9313
Phone: (209) 579-9444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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